A (in)visibilidade dos maus-tratos na infância: concepções e posicionamentos dos profissionais da Educação Infantil

Even though we have an advanced protective legislation regarding children, the maltreatment perpetrated against them is still considered a public health problem in our country, with significant rates in the 0 to 6 years old range. This practice results in serious damages to the development of the assaulted individual: mental health, social adaptation and integration, and even repetition of the learned model. The school, although required (art. 245, ECA) to denounce and notify suspected and/or proven cases of violence to the eligible public agencies, has a very low percentage of participation in these notifications. Therefore, the objective of this study was to map the conception, placement and forwarding done by kindergarten professional about suspected and/or proven cases of maltreatment in their students to determine how such phenomenon is known, recognized, (re)constructed and (re)produced in social relations. The surveyed institutions were five kindergarten public schools, located in a mid-size city in the state of São Paulo. The adopted methodological procedures were the collection and analysis of quantitative-qualitative data, based on the anthropological research method on urban social groups. To collect the data, we used the following instruments: the questionnaire (38) and the interviews (6), applied in the period of October/2009 to May/2010. The analysis of the obtained data indicated some factors that hinder an effective positioning in fighting violence: professionals report the presence of suspected maltreatment (45%), however, the allegations are not investigated; the lack of knowledge and/or distorted concepts about the legislation, and also indicators of the presence of maltreatment, of its negative consequences to the development of the child, the false belief in the sanctity of the family and that maltreatment only occurs in the ghetto, in the lower classes... (Complete abstract click electronic access below)

Elaboração de cartilha para orientação de pais de alunos de escolas públicas sobre obesidade infantil

Esta pesquisa procurou investigar os trabalhos já publicados em revistas, periódicos, artigos científicos, livros e outros meios de comunicação, informações sobre a obesidade infantil, desde seu surgimento, métodos de prevenção e tratamentos adequados para evitar que a epidemia da obesidade continue a se alastrar em nosso país. O objetivo final desta pesquisa e revisão bibliográfica, foi o desenvolvimento de uma cartilha infantil, voltada para pais e alunos de escolas do ensino básico, a fim de alertá-los sobre a obesidade infantil, utilizando diversas gravuras e linguagem simplificada, para que tanto adultos quanto crianças possam compreender o conteúdo da cartilha. Os indivíduos obesos sofrem devido a diversos problemas, além dos problemas relacionados a saúde em geral, ainda são estigmatizados em nossa sociedade que valoriza mais a aparência que a saúde física, para isso a problemática da imagem corporal também foi abordada na cartilha. Temas como alimentação, atividade física, lazer, cuidados dos pais, doenças associadas e o crescente aumento da obesidade infantil no Brasil foram abordados, entre outros

Mitos e crendices do aleitamento materno em três gerações de mulheres da mesma família

O aleitamento materno é um ato único de amor. Apesar da importância do aleitamento materno para a criança, a mãe, a família e a sociedade, estudos mostram que a amamentação sofreu um declínio em todo o mundo, levando a conseqüências desastrosas para a saúde das crianças e das mães. Os mitos e crendices construídos no decorrer da vida interferem no ato de amamentar e estes são passados de geração para geração. Estudos indicam que as avós podem influenciar positivamente ou negativamente na amamentação tanto na sua duração quanto na sua exclusividade. Assim o objetivo deste trabalho foi de levantar o conhecimento de três mulheres da mesma família sobre o aleitamento materno, verificar os mitos e crendices e observar se eles passam de geração para geração. A pesquisa qualitativa e exploratória envolveu 8 famílias, portanto, 24 mulheres. Através de um questionário com questões abertas e fechadas sobre a identificação dos sujeitos, suas gestações e experiências e de uma entrevista semi-estruturada foi possível verificar o conhecimento que cada geração possui. Os resultados mostraram que apesar de alguns mitos e crendices diminuírem conforme passam as gerações, muitos ainda existem e vem sendo perpetuados. Portanto, é muito importante tratar da importância do aleitamento materno com crianças, construindo futuros pais com um conhecimento real eliminando mitos e crendices que são trazidos pelas gerações passadas e que influenciam no sucesso do aleitamento materno.

O uso da chupeta: elaboração de material pedagógico para orientação dos profissionais das escolas de educação infantil

What is the relationship of a pacifier as for nutrition, speech, dental and psychotherapy? What are its benefits and harm? Which strategies should be developed as a teaching material which can guide employees and teachers of early childhood education regarding the use of pacifier in schools? The survey is a qualitative and an exploratory one. By taking literature as a starting point. We found out that there are many doubts regarding the use of pacifier, even among health professionals. The booklet was prepared containing topics such as: social and historical aspects; psycho-physiological aspects of development, speech therapy and dental aspects; pros and cons of using a pacifier; teaching materials on the pedagogical use of pacifiers. Tips and information to the teacher

Formação em sexualidade, diversidade e relações de gênero no Centro de Habilitação Infantil Princesa Victoria - CHIPV: os seus desdobramentos

A pesquisa atuou no Centro de Habilitação Princesa Victoria- CHIPV, que é uma unidade de saúde cujo objetivo é atender crianças e adolescentes de 0 a 18 anos que possuem alguma deficiência física e ou sensorial. A pesquisa teve o objetivo de acompanhar as práticas vivenciadas pelos profissionais, a partir de uma formação que tratou a temática de sexualidade e relações de gênero, ministrada por pesquisadores da UNESP. A pesquisa se debruça em observar, acompanhar, perceber, problematizar e avaliar o quanto à formação continuada dentro do CHIPV (Centro de Habilitação Princesa Victoria), pode transformar as práticas dos adolescentes, o foco desta pesquisa, gerando mais possibilidades de vivencias, entendimento e outros olhares sobre a questão da sexualidade e deficiência, e como esta se desdobrará no cotidiano

Vigilância à saúde da criança na perspectiva dos enfermeiros da estratégia saúde da família

This qualitative study aimed at apprehending conceptualizations and at describing experiences of nurses working in the Family Health Strategy in a medium-sized city in São Paulo state in relation to Children’s Health Surveillance, with a special focus on nursing consultation. Data were collected from 12 nurses by means of recorded semi-structured interviews that were analyzed according to the Thematic Content Analysis Method. Results were systematized into four themes: Conceptualizations about Children’s Health Surveillance; Children’s Health Surveillance in the practice of the Family Health Strategy; Nursing consultation and Children’s Health Surveillance; Proposals to qualify Children’s Health Surveillance in the realm of the Family Health Strategy. It was possible to apprehend amplified and actual conceptualizations of Children’s Health Surveillance as well as to describe experiences surrounded by difficulties to incorporate the premises of this form of Children’s Health Care in the Family Health Strategy. Nursing consultation was noteworthy as a privileged moment, but not unique, to develop such practice. Finally, based on nurses’ proposals, the importance of triggering permanent education processes targeted at these themes in family-health services was considered

Análise microbiológica e parasitológica de alimentos servidos em escolas do ensino infantil e fundamental de uma cidade da região de São José do Rio Preto - SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Organização e funcionamento do atendimento educacional especializado na educação infantil: estudo de caso

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Índice de contaminação: novo parâmetro para análise de metais e de pesticidas no sangue materno e do cordão umbilical

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Cariogenicidade do leite materno: mito ou evidência científica

Introduction: Breast-feeding has stood out as health care measure and is part of the Government’s National Health Policy, involving dental professionals. However, it has been suggested that breast milk could be a risk factor for the development of early childhood caries. Objective: The purpose of this report was to search for scientific evidence that would support or refute the statement that breastfeeding is associated with the development of early childhood caries. Method: Medline and SciELO databases were consulted to retrieve studies, ranging from laboratory investigations to epidemiological surveys, which relate breastfeeding to dental caries. The key words ‘breast-feeding’ and ‘dental caries’ were used on the reference search. There was no scientific evidence that could demonstrate a clear relationship between breast milk and cariogenicity. This is attributed to fact that dental caries is a multifactorial disease that is susceptible to multiple confusing factors, among which the early introduction of sucrose to the infant’s diet and late introduction of oral hygiene habits. The dentist should encourage exclusive breast-feeding because, in addition to the undeniable benefits to the child’s physical and psychological health, it contributes to a harmonic facial growth and prevents the development of atypical deglutition and malocclusions, in combination with early introduction of oral hygiene habits and noncariogenic diet. Conclusion: There is no scientific evidence to demonstrate an association between breast-feeding and early childhood caries.

Conhecimento de mães sobre promoção de saúde bucal em bebês

The aim of this study was to assess the knowledge level on oral health promotion for babies of all mothers (n=60), aged 18-42 years, assisted in the Preventive Dentistry Clinic of the Faculty of Araraquara, at Universidade Estadual Paulista (UNESP), during the period 2005-2008. Methods - An interview was performed using a questionnaire with 18 open and five closed questions about knowledge and practices related to caries prevention as well as demographic information. Methods - The majority believed that breast milk does not cause caries (73,3%), that caries is not a transmissible disease (51,6%) and that anatibiotics cause caries (63,3%). Almost all mothers (93,3%) responded that brushing teeth could prevent the disease, action that should be initiated since first tooth erupts (75%). For 73,3% of the respondents, the use of dental floss should be initiated onle after all deciduous teeth erupt. Results - The majority (83,3%) knew what was fluoride, but a third of them (33,3%) did not know the best time to start using it. The dentist counseling related to oral health of babies was considered imoprtant by 96,7% of mothers. Conslusion - The mothers presented good knowledge about baby's oral hygiene, however, they did not know about other important variables for oral health promotin of babies.

Bebês com sequência de Pierre Robin: saúde mental materna e interação mãe-bebê

The aim of this study was to evaluate maternal stress and anxiety and the quality of interaction of 10 mothers and their 0-3-month-old babies with Pierre Robin Sequence hospitalized in a university hospital. We used the Inventory of Stress Symptoms for Adults to evaluate stress and the State-Trait Anxiety Inventory to assess anxiety of the mothers, and a protocol to assess the recording of the mother-infant interaction. The results showed high levels of maternal stress and anxiety. A statistically significant inverse relationship was found: the higher the maternal anxiety and stress, the lower was the mother-infant interaction. The results indicate that work needs to be done to minimize the anxiety and stress of mothers with inpatient babies in order to encourage interaction.

Obesidade infantil: etiologia, consequências e formas de intervenção

Obesity is defined as excess body fat. It is considered today a serious public health problem and has reached high proportions in childhood and adolescence. Among factors highlight the lifestyle, poor diet and little physical activity for their development. Childhood obesity is not treated can become permanent in adulthood increases the risk of several diseases such as cardiovascular, metabolic and other disorders such as depression, low self-esteem among others. It's extreme need multidisciplinary intervention to prevent it, with guidelines on healthy eating habits and regular physical activity. Treatment is necessary in a multidisciplinary team of doctors, nutritionists, physical educators, psychologists and family that has a decisive weight in the treatment of obese children. The media could give more space for the disclosure of childhood obesity, so that the population is aware of this epidemic in a more serious understand its risks and health effects. This bibliographic study has character and aims to seek the causes of obesity, its consequences in adulthood and possible forms of intervention

Variáveis de impacto na queda da mortalidade infantil no Estado de São Paulo, Brasil, no período de 1998 a 2008

This is an ecological, analytical and retrospective study comprising the 645 municipalities in the State of Sao Paulo, the scope of which was to determine the relationship between socioeconomic, demographic variables and the model of care in relation to infant mortality rates in the period from 1998 to 2008. The ratio of average annual change for each indicator per stratum coverage was calculated. Infant mortality was analyzed according to the model for repeated measures over time, adjusted for the following correction variables: the city's population, proportion of Family Health Programs (PSFs) deployed, proportion of Growth Acceleration Programs (PACs) deployed, per capita GDP and SPSRI (Sao Paulo social responsibility index). The analysis was performed by generalized linear models, considering the gamma distribution. Multiple comparisons were performed with the likelihood ratio with chi-square approximate distribution, considering a significance level of 5%. There was a decrease in infant mortality over the years (p < 0.05), with no significant difference from 2004 to 2008 (p > 0.05). The proportion of PSFs deployed (p < 0.0001) and per capita GDP (p < 0.0001) were significant in the model. The decline of infant mortality in this period was influenced by the growth of per capita GDP and PSFs.

O aleitamento materno e sua relação com a prevenção das oclusopatias

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)